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[经颅多普勒超声在颅脑外伤后脑血流紊乱评估中的应用]

[The application of transcranial doppler sonography in the evaluation of cerebral flow disturbances after head trauma].

作者信息

Jarus-Dziedzic K, Zub W, Czernicki Z

机构信息

Kliniki Neurochirurgii, Instytutu Centrum Medycyny Doświadczalnej i Klinicznej, Polskiej Akademii Nauk.

出版信息

Neurol Neurochir Pol. 1999 Jan-Feb;33(1):151-67.

Abstract

Several types of cerebral blood flow disturbances, resulting from head trauma are discussed. Application of Transcranial Doppler Sonography in diagnosing of posttraumatic cerebral vasospasm and cerebral hyperaemia, increased intracranial pressure, autoregulation disturbances, and brain death is described. Clinical examples of isolated cerebral blood flow disturbances, and several types of their co-existence are given. Special attention was paid to the noninvasiveness, repetitiveness, and relative ease of use of the technique. Transcranial Doppler examination can be especially useful in diagnosis and monitoring of different cerebral blood flow disturbances, which is especially important in therapy of brain trauma patients.

摘要

本文讨论了由头部创伤引起的几种类型的脑血流紊乱。描述了经颅多普勒超声在诊断创伤后脑血管痉挛、脑充血、颅内压升高、自动调节紊乱和脑死亡中的应用。给出了孤立性脑血流紊乱的临床实例及其几种共存类型。特别关注了该技术的非侵入性、可重复性和相对易用性。经颅多普勒检查在诊断和监测不同的脑血流紊乱方面可能特别有用,这在脑外伤患者的治疗中尤为重要。

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